| Lady Of The Sea Medical Clinic - Fourchon | |
|
180-b A.o. Rappelet Road Golden Meadow LA 70357 | |
| (985) 396-5250 | |
| (985) 396-5252 |
| Full Name | Lady Of The Sea Medical Clinic - Fourchon |
|---|---|
| Speciality | Family Medicine |
| Location | 180-b A.o. Rappelet Road, Golden Meadow, Louisiana |
| Authorized Official Name and Position | Tad A Lafont (CHIEF CLINIC OFFICER) |
| Authorized Official Contact | 9853259300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lady Of The Sea Medical Clinic - Fourchon 200 W 134th Pl Cut Off LA 70345-4143 Ph: (985) 325-9300 | Lady Of The Sea Medical Clinic - Fourchon 180-b A.o. Rappelet Road Golden Meadow LA 70357 Ph: (985) 396-5250 |
| NPI Number | 1285083154 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285083154 | NPI | - | NPPES |
| 2436490 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lady Of The Sea Medical Clinic - Golden Meadow Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 176 Washington St, Golden Meadow, LA 70357 Phone: 985-475-5200 Fax: 985-475-5664 |